- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior ... providers, insurance companies, and patients to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB… more
- Northwestern Medical Center (St. Albans, VT)
- Prior Authorization Specialist Central Registration Northwestern Medical Center, where you can be the difference. Come join the NMC family, where we focus on high ... exceptional healthcare for our community. NMC is currently recruiting for a Prior Authorization Specialist in Central Registration. This position is a full-time (80… more
- St. Luke's University Health Network (Allentown, PA)
- …health care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of ... medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors...ial cl ea rance is obtain ed + Submit prior authorizations for all STAT imaging orders for PCP… more
- Hartford HealthCare (Farmington, CT)
- …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required ... to obtain insurance prior authorizations for chemotherapy and other services in a...Responsibilities:_* *Key Areas of Responsibility* Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- Hartford HealthCare (Farmington, CT)
- …specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance ... prior authorizations for all in office procedures, medications, and...clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- Atrius Health (Norwood, MA)
- …the leading value-based care system in the country. *SUMMARY* The Medication Prior Authorization Supervisor supports and manages a group of Medication Renewal ... Coordinators and oversees the prior authorization and financial coordination aspects of the program...aspects of the program and staff as needed (eg, Prior Authorization Specialists and Infusion Financial Coordinators). This team… more
- Froedtert South (Kenosha, WI)
- Prior Authorization/Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply Now Job Details + POSITION PURPOSE + A Prior -Authorization/Referral ... met for both the facility and professional services. The Prior -Authorization/Referral Specialist provides detailed documentation and communication with both payors… more
- Atlantic Health System (Morristown, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... the entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for all obstetrical patients and gynecological patients to… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- Hartford HealthCare (West Hartford, CT)
- …different specialties. *Job Description* Under the direction of the Manager, Prior Authorization Services for Electrophysiology service line, performs all clerical ... duties required to obtain insurance prior authorizations for procedures, testing, office visits and other...clinical departments, as applicable. * Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- US Tech Solutions (May, OK)
- …Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior … more
- SUNY Upstate Medical University (Syracuse, NY)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- BrightSpring Health Services (Oklahoma City, OK)
- …through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating to the ... proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior … more
- University of Utah (Salt Lake City, UT)
- …Number** PRN39803B **Job Title** PS Coordinator, Scheduling **Working Title** Prior Authorization Coordinator **Job Grade** C **FLSA Code** Nonexempt **Patient ... Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
- BrightSpring Health Services (Englewood, CO)
- …through our growing network of branches and healthcare professionals. The Prior Authorization Supervisor will monitor and provide staffing direction in their ... relating to the proper initiation, clinical review, submission, and follow up of prior authorizations, and will oversee the enhanced PA program. This role requires… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
- University of Rochester (ME)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Northern Light Health (Brewer, ME)
- …Per diem Summary: This is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the Northern Light Health team. ... service which assists with all aspects of the medication refill and prior authorization process including, utilizing the electronic medical record to process… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: Range: UR URCB 205 H Compensation Range: $20.31 - ... internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and Specialists. Trains… more
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